40 likes | 248 Views
Lawrence General Hospital Prevention of Ventilator Associated Pneumonia. Nancy Correa, RN Clinical Manager, Critical Care. High incidence of Ventilator Associated Pneumonia September 2007-August 2008 11 cases. Challenge:. What We Did.
E N D
Lawrence General HospitalPrevention of Ventilator Associated Pneumonia Nancy Correa, RN Clinical Manager, Critical Care • High incidence of Ventilator Associated Pneumonia • September 2007-August 2008 11 cases Challenge:
What We Did • Instituted Intensivist Model for Management of Ventilator • Revised Protocol • Propofol as sedating agent • Use of PRN as opposed to infusion • Daily Sedation Vacation • Daily spontaneous breathing trial based on assessment criteria/safety screen • Major education program for Nursing & Respiratory Therapy
What We Learned • Consistent Physician Assessment • Team Approach FuturePlans: • Continue Vent Bundle • Consider adding Early Mobility to Protocol